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Jw _ _ • <br /> SunStarLaboratories, Inc Chain of Custody Record <br /> 326 Encinitas Blvd, Ste 150 <br /> Encinitas, CA 92024 W <br /> 1-800-900-9333 <br /> Client /-,, `'.'' , ^- Date r ! Page Of If <br /> Address 1 aA1'12 4,aA r 'L 7 z Protect Name' > <br /> Phone v, t �'Z 2't Fax Collector 4 ,%r i ly E :`C Client Project# l: <br /> Protect Manager_ . rw _, , Arr: Batch # Proposal# <br /> N <br /> N <br /> N <br /> U m ` <br /> F— <br /> To a c <br /> 03 V M <br /> C ` . O <br /> O N (00 Q In 1!7 O O U <br /> 1 O <br /> co ado CN0 0 V co Co COO [QO @ <br /> Sample Container ¢ ¢ Q a Q ¢ Q ,Q QS 0 <br /> Sample!D Date Sampled Time ' Type, Type w W_ w w w w w w w li Comments16 <br /> r� , <br /> j ' A f '- .3 41� Z �C'77 16 1! "� ~1rg.1 441 <br /> 11a_ <br /> h 1 �Sial A t z� _ <br /> t,� i!4s* 1 Pe'�j , W,'�"7� I'k r _ ��t �! ^r S 4•" r d.'�� " "f" 3 f <br /> a d� o ,yf� <br /> r� � � �' }d #l i ► V.+" rft-Lel+e''7`t4i. 4zr' <br /> ft <br /> r <br /> r <br /> r <br /> i <br /> Relinquished by (signature) Date I Time Received by (signature) Dale 1 Time Total#of containers Notes <br /> J r <br /> " 1 ``�`/b r "" "0 " --r 1,a A zit, Chain of Custody seals YININA 114 7'-0, <br /> Relinquished by (signati ) Date 1 Time Received by (signature) Date I Time Seals intact?YIN/NA f9a.�a <br /> s 4 ? <br /> Received good condition/cold <br /> Relinquished by (signature) Date 1 Time Received by (signature) Date I Time <br /> k Tbrn around time ` IAAM ) , <br /> Sample disposal Instructions Disposal Q$2 00 each - �-Reium to client _ Pickup <br />